Global prevalence of suicide in patients living with HIV/AIDS: a systematic review and meta-analysis

Rafiei, S. et al. (2023) Global prevalence of suicide in patients living with HIV/AIDS: a systematic review and meta-analysis. Journal of Affective Disorders, 323, pp. 400-408. (doi: 10.1016/j.jad.2022.11.061) (PMID:36455715)

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Abstract

Background: In fact, people living with HIV are at a greater risk of mental health disorders. Based on lack of necessary information in this area the present systematic review and meta-analysis study was conducted to determine the magnitude of committed suicides among HIV/AIDS people as well as their associated factors in a global setting. Method: Firstly we registered the protocol of study in PROSPRO. Then the publications were searched in the 4 main databases from January 2000 to April 2022. After removing duplication and inappropriate studies we applied inclusion and exclusion criteria. Finally 60 studies were included for analysis. Comprehensive meta-analysis software were used for analyzing. Results: After reviewing 60 articles published from January 2000 to April 2021 in 24 countries, the total prevalence rate of suicide among 61,904 patients was estimated at 0.249 (95 % CI, 0.2–0.306). Findings indicated that the highest suicide prevalence was related to single patients estimated at 0.257 (95 % CI, 0.184–0.347). A gender-based meta-analysis depicted that the prevalence of suicide/ suicidal ideation was higher among females estimated at 0.22 (95 % CI, 0.15–0.29) compared with men at 0.17 (95 % CI, 0.11–0.23). Conclusion: Health planners and policymakers should develop suicide-prevention strategies aimed at female patients in younger age groups who live alone and are deprived of social support to effectively promote their self-efficacy in successful management of the disease. Integrating mental health services into anti-retroviral therapy for HIV/AIDS patients is also suggested in order to effectively design integrated programs for the management of individuals living with HIV/AIDS.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:UNSPECIFIED
Authors: Rafiei, S., Raoofi, S., Kan, F. P., Masoumi, M., Doustmehraban, M., Biparva, A. J., Ashari, A., Vali, N., Khani, S., Abdollahi, B., Shahrebabak, E. s. V., Heydari, M., Momeni, Z., Kasaie, Z. a., Beliad, M., and Ghashghaee, A.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Affective Disorders
Publisher:Elsevier
ISSN:0165-0327
ISSN (Online):1573-2517
Published Online:28 November 2022
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in Journal of Affective Disorders 323: 400-408
Publisher Policy:Reproduced under a Creative Commons License

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